在剖腹产手术中,关节下/关节下脉缩指数是否可以预测脊髓麻醉引起的低血压?
E Aslanlar1, M Sargın, D A Aslanlar
1Department of Anesthesiology, Medicine Faculty, Selcuk University, Konya, Turkey. emine.aslanlar@selcuk.edu.tr.
European review for medical and pharmacological sciences
|November 17, 2023
概括
下静脉或下下静脉 (SCV-AV) 折叠性指数不能可靠地预测经过剖腹产的孕妇的脊柱麻醉诱导的低血压 (SAIH). 这一发现表明,需要使用替代方法来评估这些患者的液体状况.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 血管超声波是指血管超声波.
背景情况:
- 脊柱麻醉诱导的低血压 (SAIH) 是接受剖腹产的孕妇常见的并发症,对母亲和胎儿都有风险.
- 低血压可以加剧在脊髓麻醉期间的血压下降,这是由于预先负载的减少.
- 下静脉超声波为评估术前血管内体积状态提供了一种潜在的方法.
研究的目的:
- 为了确定下关节静脉或下关节下关节静脉 (SCV-AV) 折叠性指数是否可以预测经过剖腹产的妇女的脊柱麻醉诱导的低血压 (SAIH).
- 评估SCV-AV测量与SAIH发生率之间的关联.
主要方法:
- 一项前性观察性研究包括82名计划接受选择性剖腹产的妇女.
- 在麻醉前,对SCV-AV折叠性指数和直径进行了超声波评估.
- 在脊髓麻醉后监测血压变化.
主要成果:
- 脊椎麻醉后的64%患者出现了低血压.
- 在自发呼吸和深呼吸期间评估的SCV-AV折叠性指数没有显著预测平均血压的下降.
- 统计分析显示,SCV-AV测量和SAIH之间没有显著的相关性 (p<0.979,p<0.380).
结论:
- 在接受选择性剖腹产的孕妇中,SCV-AV折叠性指数不是脊柱麻醉诱导的低血压的可靠预测指标.
- 目前用于评估血管内体积状态的超声波方法可能无法有效地预测该人群中的SAIH.
- 需要进一步的研究来确定可靠的方法来预测和管理在剖腹产期间的SAIH.
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